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HomeMy WebLinkAboutFire Service/Self Audit 06 MUNIID: 70266 FIRE ID: 70030 CITY CLERK'S OFFIC ction A: Fire Protection Services Under Section COMM 14.48 (3) (c) cities, villages or towns must certify whether or not they are providing fire protection services by indicating they are in substantial compliance with the following requirements. (Place an X below in the box by the correct answer. Choose only one answer for each question) 1 The fire department is organized to provide continuous fire protection in that city, village or town. - Required by s.101.575 3 a 1., Stats. 2 The fire de artment has a desi nated fire chief. - Re uired b : s.1 01.575 3 a 1., Stats. 3 Singly, or in combination with another fire department under a mutual aid agreement, the fire department must ensure the response of at least 4 firefighters, none of whom is the chief, to a first alarm for a building. - Required b s. 101.575 3 a 2., Stats. 4 The fire department must provide a firefighter safety and health training program as prescribed by Chapter Comm 14. - Re uired b s. 101.575 3 a 3., Stats 5 The fire department has facilities capable, without delay, of receiving an alarm and dispatching firefighters and a paratus. - Required b s. 101.575 3) a) 4., Stats 6 If the fire department is a volunteer fire department, it must hold a meeting at least once each month, or a paid or partly-paid fire department must ensure sufficient personnel ready for service at all times. - Required by: s. 101.575 3 b, Stats. 7 The city, village or town must ensure that for the calendar year of 2005, the fire department dues money was only used for one or more of the following: . The purchase of fire protection equipment. . Fire inspection and public education. . Training of firefighters and fire inspectors performing public fire education and fire prevention inspection. . To fund wholly or partially firefighters' pension funds or other special funds for the benefit of disabled or su erannuated fireti hters. - Re uired b : s. 101.575 6 a, Stats Was the subject municipality in substantial compliance with the regulations in Section A? ves[R] NoD Self-Certification Audit Si nature Section I, the undersigned, hereby certify that the substantial compliance indicated on this self-certification audit form is true. I am signing this document in my capacity as the clerk for: CITY OF OSHKOSH County:WINNEBAGO Municipal 10 Code:70266 Clerk name.: PAMELA R. UBRIG Work phone number:(920) 236-5014 clerk Clerk signature:i)CU _ ( I '- r-~ '_ "'I. /\l-'/ te:~ LJ......)~ I, the undersigned, hereby certify that the substantial compliance indicate'd on this self-certification audit form is true. I am signing this document in my capacity as the fire chief for: OSHKOSH FIRE DEPT Chief name.: TIMOTHY FRANZ FDID:70030 Pay status: 1 *Note: ......... .If the fire chief name listed above is not the name of the person signing below, then please print the full name of the person signing, the work phone number, check the appropriate status box and fill in the effective date. Work phone number: o A pointed or elected chief Effective date: Name: Fire chief signature: I '- /:2 Date: 4~~- Go (; MUNIID: 70266 FIRE ID: 70030 CITY CLERK'S OFEIC ction A: Fire Protection Services C-,' .,..'_',',> . ,",,-',..<. ',",,_ '" ,,'. Under Section COMM 14.48 (3) (c) cities, villages or towns must certify whether or not they are providing fire protection services by indicating they are in substantial compliance with the following requirements. (Place an X below in the box by the correct answer. Choose only one answer for each question) 1 The fire department is organized to provide continuous tire protection in that city, village or town. - Required by s.101.575 3 a 1., Stats. 2 The fire de artment has a desi nated fire chiet. - Re uired b : s.1 01.575 3 a 1., Stats. 3 Singly, or in combination with another fire department under a mutual aid agreement, the fire department must ensure the response of at least 4 firefighters, none of whom is the chief, to a tirst alarm tor a building. - Required b s. 101.575 3 a 2., Stats. 4 The fire department must provide a firefighter safety and health training program as prescribed by Chapter Comm 14. - Re uired b s. 101.575 3 a 3., Stats 5 The tire department has facilities capable, without delay, of receiving an alarm and dispatching firetighters and apparatus. - Required by s. 101.575 (3) a) 4., Stats 6 It the fire department is a volunteer fire department, it must hold a meeting at least once each month, or a paid or partly-paid fire department must ensure sufficient personnel ready for service at all times. - Required by: s. 101.575 3 b, Stats. 7 The 'city, village or town must ensure that for the calendar year of 2005, the fire department dues money was only used for one or more of the following: · The purchase ot fire protection equipment. . Fire inspection and public education. · Training of firefighters and fire inspectors performing public fire education and fire prevention inspection. · To fund wholly or partially 'firefighters' pension funds or other special funds tor the benefit of disabled or su erannuated fireti hters. - Re uired b : s. 101.575 6 a, Stats Was the subject municipality in substantial compliance with the regulations in Section A? ves[R] NoD Self-Certification Audit Si nature Section I, the undersigned, hereby certify that the substantial compliance indicated on this self-certification audit form is true. I am signing this document in my capacity as the clerk for: CITY OF OSHKOSH County:WINNEBAGO Municipal 10 Code:70266 Clerk name.: PAMELA R. UBRIG Work phone number:(920) 236-5014 e;~COb ~ , I, the undersigned, hereby certify that the substantial compliance indicated on this self-certification audit form is true. I am signing this document in my capacity as the fire chief for: OSHKOSH FIRE DEPT Chief name.: TIMOTHY FRANZ FDID:70030 Pay status: 1 Fire chief signature: I '- /-:2 Date: 4~~- Go (; i'",",oi."'i,..,~;..i-;i'C'::""'V'",,,i'">,'., ,:~,~ .;",0.,,',.